Chololithiasis yana samuwa ne a lokuta da yawa, musamman a cikin mutane fiye da shekaru 40. Gallstone cuta yana shafar mata, a cikin maza yana faruwa sau 5-10 sau da yawa sau da yawa. Idan an gano cutar a lokaci, zaka iya kawar da hanyoyi tare da hanyoyi masu ra'ayin mazan jiya. A lokuta masu ci gaba, kawai magani zai taimaka.
Dutsen a cikin gallbladder - haddasawa
Ba a fahimci irin yanayin da aka samu ba, kawai abubuwan da suke kara haɗarin abin da suka faru sun san. An gano cewa cholelithiasis yana da mahimmanci a yara, yaduwar yawansa ya karu don kaiwa tsofaffi da kuma tsufa. Chololithiasis shine sau 5-10 mafi sauƙi a ci gaba a cikin mata, musamman ma bayan haihuwar haihuwa ko fiye.
Sauran cututtuka suna haifar da haɗakar gallstones:
- yalwaci zuwa cikakke;
- cin abinci mai arziki a furotin dabba da ƙwayoyin dabbobi;
- abubuwan da ke faruwa a ciki da kuma rashin lahani waɗanda ke shafe ƙwayar bile;
- pathologies, tare da lalacewar aiki na jini na jini;
- salon zama;
- cututtuka na hanta da kuma gallbladder;
- babu abinci;
- yanayin yanayin kai tsaye;
- rashin daidaituwa;
- aiki akan gastrointestinal fili;
- high cholesterol a cikin jiki da sauransu.
Irin duwatsu a cikin gallbladder
Kafin fitowar sifofi, an fara kafa sludge na biliary. Yana da m, kamar putty, bile. A cikin yanayin al'ada, ruwa ne, ya ƙunshi kusan 95% ruwa. Daga biliary sludge da hankali aka kafa a cikin magunguna. Suna da tsari daban-daban, siffar da girman (daga ƙwayar yashi zuwa kwai mai kaza), dangane da abin da suke da shi. Siffofin duwatsu a bile:
- cholesterol;
- mai kulawa;
- pigmented;
- gauraye.
Ƙayyadewa ta tsari:
- fibrous;
- crystalline;
- Amorphous;
- lagered.
Bambanci na gallstones a cikin tsari:
- faceted (multifaceted);
- Hanya;
- ganga-dimbin yawa;
- Littafi Mai Tsarki;
- ovoid da sauransu.
Cholesterol duwatsu
Irin wannan tarurruka ya fi kowa fiye da sauran, a cikin kimanin kashi 80 cikin dari. Wadannan duwatsu a bile sun hada da cholesterol. Bugu da ƙari, alamu da saltsin salts (ba fiye da 10-15%) za a iya haɗa su a cikin abun da suke ciki ba. Cholesterol ba ya rushe a cikin ruwa da sauran kwayoyin halitta, don haka yana gudana tare da tare da colloidal particles - micelles. Lokacin da matakai na rayuwa sunyi damuwa, wadannan mahaukaci sun fito daga abin da gallstones ke haifar a cikin mafitsara. Da farko su kananan ne, kamar hatsi mai yashi, amma sannu-sannu suke girma, sukan hada kansu da juna.
Kira masu kyan gani
Irin wannan tsari ne da aka kafa a kan tushen kullun kumburi. Kwayoyin tsararraki a cikin gallbladder - sakamakon sakamakon shaidar saltsium a kan kwayoyin tarawa, kananan kwayoyi na cholesterol ko kwayoyin epithelial. Mafi magungunan ƙwayoyin cuta na ƙonawa shine E. coli. Wasu lokuta wasu duwatsu na lemun tsami a cikin gallbladder an kafa ne saboda hypercalcemia, tare da cigaban hyperparathyroidism. Wannan wata mahimmanci ne na ƙuri'a.
Tushen da aka gina
Dalilin bayyanar wannan bambance-bambance na daban shine nau'i daban-daban na anemia. Haka kuma cutar ta haifar da cin zarafi na bilirubin, wanda ya haifar da samfurori a cikin gallbladder. Sau da yawa suna sake faruwa, baya ga sauran nau'o'in (cholesterol ko calcareous). A irin waɗannan lokuta, duwatsu a cikin gallbladder sun samo asali ne saboda matsala. Kumburi na iya haifar da cholelithiasis kanta, na kwayan cuta ko kwayoyin hoto.
Ƙungiyoyi masu Magana
Irin nau'ikan da aka kwatanta shi ne mai laushi kuma girman girman. Turarrun gauraye da yawa a cikin gallbladder sune sakamakon yaduwa da saltsin allura a cholesterol da bilirubin. Kasancewa irin wannan tsari yana nuna lokaci mai yawa na pathology. Tsarin mahimmanci na yatsun gauraye yana da wuya. Sau da yawa magani ya shafi kawar da kwayar cutar tareda lissafi.
Dutsen a cikin gallbladder - bayyanar cututtuka
Kimanin 60-80% na marasa lafiya tare da cholelithiasis ba su ji wani alamun ilimin lissafi a farkon shekaru 5-15 na ci gabanta. Saboda wannan dalili, a farkon matakai yana da kusan yiwuwa a gano duwatsu a cikin bile - alamun bayyanar sun kasance ba a nan ba ko kuma suna faruwa ne da wuya kuma suna wucewa sauri. Wannan abin mamaki ne saboda launi na duwatsu, rashin jin dadi da suke dasu kawai yayin motsi akan ducts.
Wasu lokuta wasu duwatsu a cikin gallbladder suna jin kansu ta hanyar bayyanar da asibitoci masu zuwa:
- mai ɗanɗani mai haɗari.
- Nausea;
- flatulence ;
- vomiting tare da bile ;
- ketare na kashi;
- icterus na fata da idanu;
- belching tare da iska;
- malaise;
- ƙananan ƙaruwa a yanayin jiki;
- fassarar tasiri;
- hare-hare na matsin ko ciwo mai zafi a cikin hanta;
- ci gaba da ci.
Matsayi na cholelithiasis
Girman wadannan alamun sun dogara da tsawon lokacin cigaba da yanayin da kuma tsananin. Matsayi na cholelithiasis:
- Pre-dutse. A bile yana karawa, an kafa sludge biliary. Zai iya ɗauke da inclusions na saltsium salts da bilirubin, wani cholesterol precipitate.
- Asymptomatic. Da farko an kafa dutsen farko a cikin bile ducts da kuma mafitsara. Sun kasance kaɗan kuma suna ƙananan, don haka babu alamun rashin lafiya.
- Ci gaba. Abubuwa masu yawa sun yi yawa kuma suna da yawa, mutum yana shan wahalar hare hare. A wannan mataki, har yanzu zaka iya cire duwatsu a cikin bile ba tare da tiyata ba, ana gudanar da maganin a hanyoyi masu mahimmanci.
- Ciki. Chololithiasis na ci gaba da ci gaba, kawai ana yin tsaka baki ne. Cikakke cika kusan dukkanin sararin samaniya na jikin.
Gallstone cuta - ganewar asali
Babban hanyar gano cutar ita ce yin duban dan tayi. Idan aikin likita ya samu, babu buƙatar ƙarin ayyuka. A wasu lokuta, hanyoyi masu mahimmanci sune aka tsara, wanda ya ba da izinin tantance maganganu a cikin gallbladder:
- lissafin rubutu;
- retrograde pancreatocholangiorentgenography;
- Makaman nukiliya na fuska.
Duwatsu a cikin gallbladder - abin da za a yi?
Akwai kawai zaɓuɓɓukan magani 2 don cholelithiasis. Tsarin shawara ya dogara da abin da tsarin, adadin da girman dutse, wanda ya kunshi duwatsu a cikin gallbladder - alamun bayyanar, magani ya dace da mataki na pathology. Kafin bayyanar alamun alamun cutar, ana iya kawar da shi a hanyoyi masu ra'ayin rikitarwa. A gaban rikice-rikice, ana ba da umarni a ba da umarni ba.
Stone a cikin gallbladder - magani ba tare da tiyata ba
Idan babu hoto na asibiti, za a zaɓi mahimmancin farfadowa guda ɗaya. Yana taimaka wajen dakatar da cutar kuma ya hana magungunan cholecystitis mai wuya - maganin ya samar da:
- rage cin abinci;
- Daidaita cin abinci;
- daidaiton nauyi;
- aiki na jiki.
A layi daya, mutum yayi amfani da kwayoyi wanda ya rushe duwatsu a cikin gallbladder:
- Ursosan ;
- Henofalk;
- Ursofalk;
- Gina;
- Ursohol;
- Henosan;
- Ursofalk da analogues.
A lokacin da aka kama (colic), an tsara tsarin tsarin farfado da ya dace:
- Yunwar, har sai vomiting ta kare.
- Aiwatar da gilashi ko sanyi zuwa damfin hagu.
- Saurin jin zafi tare da cututtuka (No-Shpa, Platifillin, Papaverin) da kuma analgesics (Maxigan, Ibuprofen, Nimesil).
- Hanyar maganin rigakafi. An zaɓi su kawai da likita idan akwai kamuwa da cuta.
- Detoxification - Enterosgel, Atoxil.
- Hanzarta na janye ruwa daga jiki tare da taimakon diuretics (Ureit, Lasix da sauransu).
Lokacin da girman duwatsu a cikin gallbladder ba ya wuce 2 cm a diamita, kuma ƙididdigar ƙananan ƙananan ne, ana bada shawara ga lithotripsy da dama. Wannan wata hanya ce ta karya shingen jiki daga waje, ana amfani dasu ne kawai idan ba a samu matakan kumburi ba. Don haɓaka, kwangila na ƙungiyar da ya shafi abin ya shafa ya kasance a cikin al'ada, akalla 75%.
Dutsen a cikin gallbladder - aiki
Ana kiran mai kira cholecystectomy. Ana aiwatar da shi ta hanyar laparoscopic tare da raƙataccen ɗan gajeren lokaci da gajeren lokacin gyaran (har zuwa kwanaki 3). Wannan ba kawar da duwatsu daga bile ba, amma haɗarin mafitsara daga cervix tare da takaddama. Ayyukan irin wannan aiki ya kai 99%, hanya tana da tasiri ko da a cikin lokuttan da suka dace na cholelithiasis.
Zaɓuɓɓuka ko ƙyale duwatsu daga gallbladder dabam, tare da adana kwayoyin, ba a yarda ba. Ƙoƙarin ƙoƙari don aiwatar da wannan zaɓi na aikin hannu ya ƙare a cikin 60 na. Irin waɗannan ayyukan suna da haɗari da kuma cututtuka, tare da sakamako mai tsanani. Daga baya, sake dawowa, kuma mutum har yanzu ya yi cholecystectomy.
Cin abinci tare da duwatsu a cikin gallbladder
A kowane mataki na cholelithiasis, wani muhimmin bangaren farfadowa shi ne abincin. Idan ba'a samu dutsen ba kuma an samu kananan duwatsu a cikin gallbladder, magani ya zartar da bin ka'idar Pevzner # 5. Ɗauka abinci sau 4-6 a rana, a lokuta na lokaci. A kan karamin ciki an bada shawara a sha ruwan sha mai tsabta. A tsawon lokacin colic, azumi na gajeren lokaci an tsara shi tare da saurin sauyawa zuwa abincin nasu 5a. Anyi irin abincin da aka yi yayin da aka yi wa cholecystitis alamomi tare da kumburi. Abinci mai kyau ya zama rayuwa, ba tare da nuna bambanci ba.